| Details | Last Recertification Date | Update | Recertification | 8/17/2023 12:18:38 PM | 8/15/2024 10:48:16 AM | 8/15/2024 10:48 AM |
| Details | Last Recertification Date | Update | Recertification | 8/25/2022 12:04:07 PM | 8/17/2023 12:18:38 PM | 8/17/2023 12:18 PM |
| Details | Last Recertification Date | Update | Recertification | 8/16/2021 3:37:47 PM | 8/25/2022 12:04:07 PM | 8/25/2022 12:04 PM |
| Contacts | Authorizing Official | Update | Change Request | Flood, Nathan
Chief Executive Officer
Castro County Hosptial District
8066472191-8700 | Rosier, Elisha
CEO
Castro County Hospital District
8066472191-8700 | 8/22/2022 1:41 PM |
| Details | Last Recertification Date | Update | Recertification | 8/18/2020 5:00:31 PM | 8/16/2021 3:37:47 PM | 8/16/2021 3:37 PM |
| Medicaid Billing | NPI: Number | Insert | Recertification | | 1033118716 | 8/18/2020 5:00 PM |
| Medicaid Billing | NPI: State | Insert | Recertification | | TX | 8/18/2020 5:00 PM |
| Medicaid Billing | NPI: Number | Delete | Recertification | 1033118716 ( ) | | 8/18/2020 5:00 PM |
| Details | Last Recertification Date | Update | Recertification | 9/10/2019 12:27:02 PM | 8/18/2020 5:00:31 PM | 8/18/2020 5:00 PM |
| Contacts | Primary Contact | Update | | Case, Laura
CFO
Castro County Hospital District
8066472191 | Case, Laura
CFO
Castro County Hospital District
8066472191-8751 | 8/17/2020 9:30 AM |
| Contacts | Authorizing Official | Update | Change Request | Rasor, Linda
CEO
Castro County Hospital District
8066472191-8700 | Flood, Nathan
Chief Executive Officer
Castro County Hosptial District
8066472191-8700 | 8/13/2020 4:57 PM |
| Contacts | Primary Contact | Update | Change Request | Flood, Nathan
Chief Executive Officer
Castro County Hosptial District
8066472191-8700 | Case, Laura
CFO
Castro County Hospital District
8066472191 | 8/13/2020 4:57 PM |
| Contacts | Primary Contact | Update | Profile Change Request | Flood, Nathan
Chief Financial Officer
Castro County Hosptial District
8066472191-8751 | Flood, Nathan
Chief Executive Officer
Castro County Hosptial District
8066472191-8700 | 8/12/2020 1:52 PM |
| Details | Last Recertification Date | Update | Recertification | 9/3/2018 8:36:35 AM | 9/10/2019 12:27:02 PM | 9/10/2019 12:27 PM |
| Contacts | Primary Contact | Update | Profile Change Request | Flood, Nathan
Chief Financial Officer
Castro County Hosptial District
8066412191-8751 | Flood, Nathan
Chief Financial Officer
Castro County Hosptial District
8066472191-8751 | 8/27/2019 12:31 PM |
| Contacts | Primary Contact | Update | Change Request | Pena, Elizabeth
Pharmacy Technician
Castro County Hospital District
8066472191-8801 | Flood, Nathan
Chief Financial Officer
Castro County Hosptial District
8066412191-8751 | 7/31/2019 7:24 AM |
| Details | Last Recertification Date | Update | Recertification | 11/21/2017 11:42:16 AM | 9/3/2018 8:36:35 AM | 9/3/2018 8:36 AM |
| Details | Last Recertification Date | Update | Recertification | 8/19/2016 12:00:00 AM | 11/21/2017 11:42:16 AM | 11/21/2017 11:42 AM |
| Contacts | Authorizing Official | Update | | Rasor, Linda
CEO
8066472191-8700 | Rasor, Linda
CEO
Castro County Hospital District
8066472191-8700 | 11/16/2017 4:20 PM |
| Contacts | Signed By | Update | | Rasor, Linda
CEO
8066472191-8700 | Rasor, Linda
CEO
Castro County Hospital District
8066472191-8700 | 11/16/2017 4:20 PM |
| Contacts | Primary Contact | Update | Profile Change Request | Pena, Elizabeth
Pharmacy Director
Castro County Hospital District
8066472191-8801 | Pena, Elizabeth
Pharmacy Technician
Castro County Hospital District
8066472191-8801 | 11/6/2017 5:25 PM |
| Contacts | Primary Contact | Update | Profile Change Request | Pena, Lisa
Pharmacy Director
Castro County Hospital District
8066472191-8801 | Pena, Elizabeth
Pharmacy Director
Castro County Hospital District
8066472191-8801 | 11/6/2017 5:24 PM |
| Contacts | Primary Contact | Update | | Pena, Lisa
Pharmacy Director
8066472191-8801 | Pena, Lisa
Pharmacy Director
Castro County Hospital District
8066472191-8801 | 11/6/2017 5:11 PM |
| Addresses | Main Address | Insert | | |
310 W Halsell
Dimmitt, TX 79027-1846 | 8/19/2016 11:07 AM |
| Contacts | Primary Contact | Update | | Wilhite, Milton
CFO
8066478736 | Pena, Lisa
Pharmacy Director
8066472191-8801 | 8/19/2016 11:07 AM |
| Contacts | Authorizing Official | Insert | | | Rasor, Linda
CEO
8066472191-8700 | 8/19/2016 11:07 AM |
| Contacts | Signed By | Insert | | | Rasor, Linda
CEO
8066472191-8700 | 8/19/2016 11:07 AM |
| Details | Last Recertification Date | Update | | 8/31/2015 12:00:00 AM | 8/19/2016 12:00:00 AM | 8/19/2016 11:07 AM |
| Medicaid Billing | Medicaid: Number | Update | | 1033118716 | 1361420-11 | 8/31/2015 3:57 PM |
| Medicaid Billing | NPI: Number | Insert | | | 1033118716 | 8/31/2015 3:57 PM |
| Details | Last Recertification Date | Update | | 9/4/2014 12:00:00 AM | 8/31/2015 12:00:00 AM | 8/31/2015 3:57 PM |
| Details | Last Recertification Date | Update | | 9/6/2013 12:00:00 AM | 9/4/2014 12:00:00 AM | 9/4/2014 3:46 PM |
| Medicaid Billing | Medicaid: Is Primary | Insert | | | False | 10/17/2013 4:52 PM |
| Medicaid Billing | Medicaid: Number | Insert | | | 1033118716 | 10/17/2013 4:52 PM |
| Medicaid Billing | Medicaid: State | Insert | | | TX | 10/17/2013 4:52 PM |
| Details | Last Recertification Date | Update | | | 9/6/2013 12:00:00 AM | 9/6/2013 4:38 PM |
| Contacts | Primary Contact | Insert | | | Wilhite, Milton
CFO
8066478736 | 12/19/2011 5:13 PM |
| Dates | Participating Approval Date | Update | | | 12/16/2011 12:00:00 AM | 12/16/2011 5:24 PM |
| Details | State | Update | | Pending | Active | 12/16/2011 5:24 PM |
| Details | Entity Name | Update | | Plains Memorial Hospital | Castro County Health District DBA Plains Memorial Hospital | 11/29/2011 11:34 AM |
| Details | 340B ID | Update | | CA111111 | CAH451350-00 | 11/15/2011 11:07 AM |
| Dates | Start Date | Update | | | 1/1/2012 12:00:00 AM | 11/15/2011 11:07 AM |
| Details | 340B ID | Update | | ONLINE_REG | CA111111 | 11/11/2011 7:47 AM |
| Details | Last Recertification Date | Insert | | | | 11/9/2011 11:47 AM |
| Details | Grant Number | Insert | | | | 11/9/2011 11:47 AM |
| Details | 340B ID | Insert | | | ONLINE_REG | 11/9/2011 11:47 AM |
| Details | Is Authorizing Official EHB Data | Insert | | | | 11/9/2011 11:47 AM |
| Dates | Last Date That 340B Drugs Purchased | Insert | | | | 11/9/2011 11:47 AM |
| Details | Medicare Provider Number | Insert | | | 451350 | 11/9/2011 11:47 AM |
| Details | Entity Name | Insert | | | Plains Memorial Hospital | 11/9/2011 11:47 AM |
| Details | Program Code | Insert | | | CAH | 11/9/2011 11:47 AM |
| Details | Entity Subname | Insert | | | | 11/9/2011 11:47 AM |
| Dates | Participating Approval Date | Insert | | | | 11/9/2011 11:47 AM |
| Details | State | Insert | | | Pending | 11/9/2011 11:47 AM |
| Dates | Registration Date | Insert | | | 11/9/2011 12:00:00 AM | 11/9/2011 11:47 AM |
| Dates | Signed By Date | Insert | | | 11/9/2011 12:00:00 AM | 11/9/2011 11:47 AM |
| Dates | Start Date | Insert | | | | 11/9/2011 11:47 AM |
| Terminations | Termination Comments | Insert | | | | 11/9/2011 11:47 AM |
| Terminations | Termination Date | Insert | | | | 11/9/2011 11:47 AM |
| Terminations | Termination Effective Date | Insert | | | | 11/9/2011 11:47 AM |
| Terminations | Termination Reason | Insert | | | | 11/9/2011 11:47 AM |